Inspection on 26/09/05 for Coton House

This inspection was carried out on 26th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Coton House 13/01/09

Coton House 04/11/08

Coton House 09/07/08

Coton House 18/10/07

Coton House 22/06/06

Coton House 12/10/04

Coton House 08/06/04

Coton House 08/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Coton Care Ltd Coton House 55 Coton Road Penn Wolverhampton West Midlands WV3 7LZ Lead Inspector Mr Ian Harris Unannounced Inspection 26th September 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coton Care Ltd Address Coton House 55 Coton Road Penn Wolverhampton West Midlands WV3 7LZ 01902 339391 01902 339391 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Balbir Singh Kular Mrs Inderjit Kular Mrs Kalwant Chatal Care Home 27 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (21) of places Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home should only accommodate service users with mild dementia. Date of last inspection Brief Description of the Service: Coton House is situated in a very quiet area of Penn, some 400 yards from Goldthorn Hill. residential home for the elderly for many years. In 2001 the Home had major development and refurbishment with a new purpose built w registered for 21 service users aged over 65 year’s. The home is well maintained and has a homely, friendly atmosphere. The staff are exper users. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over 4 hours. The main purpose of the inspection was to check the progress made by the home regarding the recommendations and requirements made in the last inspection report. The fullest co-operation was given to the inspection officer by the Care Manager staff and residents. This home has a history of meeting and exceeding national minimum standards and providing a good service for people; consequently on this occasion only those standards identified as “key” by CSCI have been inspected. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 5 of the 26 staff were on duty, and 7 of the 26 residents were spoken to. On the day of inspection the atmosphere within the home was found to be warm, friendly, comfortable and safe with contented residents. What the service does well: What has improved since the last inspection? Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 6 There have been considerable improvements made to the home’s environment since the last inspection. The completion of the extension now provides an additional 6 residents’ bedrooms, all with en-suite facilities and the provision of a medical and visitors room. Two residents’ bedrooms have been redecorated and re-carpeted. All the windows have now been replaced and fitted with double-glazed units and a new shower facility has been provided for the residents. Also the garden has been restored and re-landscaped. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4 and 5 The home provides clear and accurate information to prospective residents on the services provided, enabling them to make a properly informed choice about the home. All residents are given a written contract on admission to the home. EVIDENCE: Each resident is provided with a detailed service users guide and statement of terms and conditions when they move into the home. This statement contains all the required information. The statement is clear on what the fees do and do not cover. A resident who had recently moved into the home stated that she found the staff and the information provided helpful in making her decision about moving into the home. It was noted the homes has revised the statement of purpose. Residents are encouraged to visit the home prior to admission. An introductory visit is always offered to prospective residents, on some occasions the visits are declined and relatives visit on behalf of the prospective resident prior to admission. A trial period is included in the statement of terms and conditions of residence and the homes contracts. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 9 Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9,10 and 11 Staff are sensitive to the individual needs of each service user and meet these in a professional manner The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are met. The systems for the administration of medication are good with clear and comprehensive recording arrangements in place to ensure resident’s medication needs are met. EVIDENCE: The home is well supported by local G. P.’s and all paramedical services. Where possible the residents are encouraged to retain their own G. P.’s, Dentists and Opticians. However if a resident has moved outside of their area, the Care Manager ensures, that these services are provided by local practitioners. Medication is administered by means of a monitored dosage system. The system is working well. The home receives good support from the local pharmacist who carries out a three monthly audit. All Senior Care Staff are trained in the system before they are allowed to administer medication. The Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 11 home has comprehensive policies and procedures, which are an integral part of the homes staff induction programme. All residents have single rooms. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents and the residents spoken to confirmed the staff are kind helpful and help with their personal needs. Consultation with health care and social care professionals is carried out within the residents’ bedrooms or the new treatment room. Visitors are able to meet residents in their bedrooms or the visitors room. Residents’ wishes with regard to terminal care and arrangements after death are obtained at the assessment stage, if possible. Family members are involved in these discussions if appropriate. Unless there are medical reasons for not doing so, service users are able to spend their final days in their own rooms. Where the needs of service users change, re-assessments are requested. The home has clear policies with regard to dying and death. The Care Manager and Care Staff are conscious of the need to provide extra support to the residents in their final days at the home. All the Staff are very aware of the need to be particularly sensitive, caring and attentive to the residents needs prior to their death. The care manager is also aware of the support the staff should provide to relatives and colleagues. Resident’s relatives are encouraged to be fully involved in the residents care at this particular time. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14 and 15 Staff work in close liaison with residents and their relatives to understand their individual lifestyles and preferences in order that these can be continued when they move into the home. Individuals are enabled to exercise choice and control over their lives wherever possible balancing the rights and risks with each individual The meals in the home are good homely type offering both choice and variety and also catering for special dietary needs. EVIDENCE: The staff at the home encourage regular contact between residents and their relatives by inviting them to coffee mornings, parties, fetes and celebrations. It was noted that approximately 8 residents are regularly taken out by their relatives. Residents spoke highly of the proprietor and how he has good contact with their families one resident telling the inspector of the proprietor sending e-mails to her son in Australia. The residents and staff stated that the residents are consulted regarding the day-to-day running of the home through residents meetings and by feedback from their key-workers. The key-workers also identify interests that the residents wish to pursue. The observations made, examination of menus and the comments received from the residents and their relatives confirmed that particular attention is Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 13 given to the residents’ individual preferences. Most of the comments made by residents regarding the quality, quantity and variety of food provided are complimentary however there was one resident that did not like the meals. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 The home has a satisfactory complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon All residents are assisted to exercise their legal rights, either by family, staff or where appropriate by an advocate provided by Care Aware. EVIDENCE: The home has a comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide, and copies are also placed on the notice board in the hall. The home has a complaints file in which all complaints are recorded. It was noted that the home has not received any formal complaint since the last inspection this and all minor complaints are dealt with appropriately and quickly. Residents are assisted to exercise their legal rights, either by family, staff or where appropriate an advocate provided by Care Aware. All permanent residents are registered on the electoral register to vote. They may vote if they wish either by post, or they are assisted to go to the polling station if this is requested and most residents voted in the last general election. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The standard of the environment within the home and the garden is very high providing the residents with a very attractive, comfortable, homely and safe place to live. EVIDENCE: The home is long established and has undergone alterations over the years in order to provide appropriate accommodation for older people. The home is maintained to a very high standard and provides a very comfortable homely and safe atmosphere. The recent alterations are now completed that have provided 6 additional bedrooms all with en-suite facilities, a visitors’ room, and a treatment room. It was noted that all of the old metal widow frames in the old part of the building have been replaced by double glazed windows and two residents bedrooms have been redecorated and re-carpeted. Also the gardens and grounds have been restored are re-landscaped providing the residence with a very nice facility The home was found to be clean and tidy and free from odour. The home has good policies and procedures regarding infection control and all the staff have Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 16 received training in food hygiene All staff appeared to be conscious of the dangers of cross infection as they were observed using protective clothing and handling soiled linen appropriately. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 The home is well staffed with adequate numbers and skill mix. All care staff are trained and competent to carry out the duties for which they are employed EVIDENCE: The inspection of staff rotas and discussions with staff indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The Care Manager and staff are committed to developing their knowledge and skill through training. The home has a good induction programme and training programme. In addition to the N.V.Q 2 and 3 training programme staff have attended training courses on the following subjects. Care Practices, Manual handling and lifting, Fire prevention, First Aid and Basic Food Hygiene, Safe Handling of Medication, infection control and dementia care. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34,35 and 36 The home is well managed, where service users interests and welfare are well promoted. The systems for resident consultation are good with evidence suggesting that their views are sought and acted upon Residents finances are being handled appropriately by designated senior staff. EVIDENCE: The routines and activities within the home are flexible and built around the needs of the residents. There was also evidence and some of the residents confirmed that staff consult with the residents regarding the choice of meals and activities within the home. There are regular residents meetings where residents are consulted about menus and entertainment etc. Also the KeyWorker system in operation is designed to ensure residents’ wishes are responded to. All the Financial Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 19 records and administrative procedures within the home that were inspected were found to be well ordered and maintained. It was noted that formal supervision is taking place on a regular basis. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 3 3 3 x x Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Coton Care Ltd DS0000020885.V253364.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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